Fung W P, Papadimitriou J M, Matz L
Ann Acad Med Singap. 1981 Jul;10(3):389-93.
The effect of various non-steroidal analgesic drugs on gastric mucosal cells was studied in 48 dogs with 2 other dogs as control. Each drug was instilled into the stomach of 8 anaesthetised dogs through a gastrostomy. Gastric biopsies, obtained at 0, 1, 2 and 3 hours after administration of the drug, were subjected to histological and electron microscopical examination. Histological analysis did not show any significant changes in gastric mucosal cells in any of the drug-related groups as compared to controls. Electron microscopy, however, showed significant changes in the gastric mucous cells and parietal cells of all test groups, as compared to controls. Ultrastructural abnormalities in mucous cells included dilation of cisternae of endoplasmic reticulum, loss of granules and microvilli, and thickening of the mucous layer and were most pronounced with acetylsalicylic acid, moderate with phenylbutazone, indomethacin and naproxen, but mild with paracetamol and ibuprofen. Parietal cell changes consisting of reduction in the concentration of tubulovesicles, which canaliculi, were found to be severe with indomethacin and phenylbutazone, moderate with paracetamol and naproxen, but only minimal with acetylsalicylic acid and ibuprofen.
以48只犬为实验对象,另有2只犬作为对照,研究了各种非甾体类镇痛药对胃黏膜细胞的影响。通过胃造口术将每种药物注入8只麻醉犬的胃内。在给药后0、1、2和3小时获取胃活检组织,进行组织学和电子显微镜检查。组织学分析显示,与对照组相比,任何药物相关组的胃黏膜细胞均未出现任何显著变化。然而,电子显微镜检查显示,与对照组相比,所有测试组的胃黏液细胞和壁细胞均出现显著变化。黏液细胞的超微结构异常包括内质网池扩张、颗粒和微绒毛丢失以及黏液层增厚,其中阿司匹林最为明显,保泰松、吲哚美辛和萘普生中等程度,而对乙酰氨基酚和布洛芬则较轻。壁细胞的变化包括微管泡系统浓度降低,其中吲哚美辛和保泰松严重,对乙酰氨基酚和萘普生中等程度,而阿司匹林和布洛芬仅轻微。